Küss R, Chatelain C, Jardin A, Thibault P, Gattegno B
J Chir (Paris). 1976;112(5):289-306.
90 case records of renal cysts in adults submitted to surgery are studied. A simple pathological classification is proposed. The accompanying signs were, hematuria in 30 p. 100 of cases, but one should always seek another cause; renal colic is present in 22 p. 100 of cases, a palpable tumour in 50 p. 100, on the other hand, infection of the cyst is rare. 35 p. 100 of the cysts were associated with another disease, usually obstructive uropathy, and there were 3 cases of association with carcinoma of the kidney in this series. Pre-operative diagnosis, eliminating carcinoma of the kidney, was ensured by intravenous urography and echotomography which permitted us to restrict the indications for arteriography and aspiration of the cyst. Surgical treatment permits resection of the salient dome of the cyst in the absence of general contra-indications, in order to suppress symptoms due to the cyst and above all, eliminate carcinoma of the kidney. The post-operative period was uneventful and the mortality nil.
对90例接受手术的成人肾囊肿病例记录进行了研究。提出了一种简单的病理分类方法。伴随症状包括：30%的病例出现血尿，但应始终寻找其他病因；22%的病例出现肾绞痛，50%可触及肿块，另一方面，囊肿感染很少见。35%的囊肿与另一种疾病相关，通常是梗阻性尿路病，本系列中有3例与肾癌相关。通过静脉尿路造影和超声断层扫描确保了术前诊断，排除了肾癌，这使我们能够限制动脉造影和囊肿抽吸的适应症。在无全身禁忌证的情况下，手术治疗允许切除囊肿突出的顶部，以消除囊肿引起的症状，最重要的是，排除肾癌。术后恢复顺利，无死亡病例。
